Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.28 / $4,962.67 / $15,341.00	Facility		$657.28	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.93 / $411.32 / $1,334.80	Professional		$225.93	$411.32	$1,334.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.44 / $774.38 / $1,336.35	Professional		$453.44	$774.38	$1,336.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.42 / $716.13 / $1,166.52	Professional		$511.42	$716.13	$1,166.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.46 / $665.28 / $1,102.41	Facility		$383.46	$665.28	$1,102.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.15 / $763.72 / $1,050.29	Professional		$485.15	$763.72	$1,050.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.15 / $824.56 / $1,013.71	Facility		$365.15	$824.56	$1,013.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.46 / $728.62 / $1,743.22	Facility		$383.46	$728.62	$1,743.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.52 / $813.60 / $1,267.14	Professional		$552.52	$813.60	$1,267.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $578.78 / $940.38 / $1,448.73	Professional		$578.78	$940.38	$1,448.73
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.24 / $935.19 / $1,697.20	Professional		$654.24	$935.19	$1,697.20